Sporotrichosis manifests most commonly as a cutaneous infection, although
pulmonary and disseminated forms have been seen.
occurs at a site of minor trauma, causing an
ulcerative subcutaneous nodule that is
firm and slightly tender but often painless.
lesions may spread along lymphatic
channels to form multiple nodules that ulcerate and suppurate. The
extremities and face are the most common sites of infection in children.
commonly affects bones and joints,
particularly those of the hands, elbows, ankles, or knees, but any organ can
disease generally occurs after hematogenous spread from primary skin or lung
Disseminated sporotrichosis may
involve multiple foci (eg, eyes, genitourinary system, or central nervous
system) and is seen predominantly in
Pulmonary sporotrichosis clinically
resembles tuberculosis and occurs after inhalation or aspiration of
Pulmonary and disseminated sporotrichosis are uncommon in children.
Academy of Pediatrics. Sporotrichosis. In: Pickering LK, ed.
2000 Red Book: Report of the Committee on Infectious Diseases. 25th
ed. Elk Grove Village, Ill: American Academy of Pediatrics;